Questionnaire

WORK LIFE BALANCE

Q 1. What is your age?

a) Below 30
b) Between 30-40
c) Above 40

Q 2. Gender
a) Male
b) Female

Q 3 Your Designation

Q 4. Do you spend more hours than you would like at work?
a) Yes
b) No

Q 5. How many hours do you work at home in an average week?

a) 1-4 hours
b) 5-9 hours
c) More than 10 hours

Q 6 How many hours a day do you spend traveling to work?

a) Less than half an hour
b) Nearly one hour
c) Nearly two hours

Q 7. Do you spend time for working out?

a) Yes
b) No

Q 8. Do you work in job shifts?

a) General shift
b) Night shift
c) Alternative

Q 9 Marital status?
a) Married
b) Unmarried

If you are married, Is your partner employed?

a) Yes
b) No

Q 10 Do you have children?

a) Yes
 b) No

Q 11 Being employed man/women who are helping to take care of your children?
a) Spouse
b) In laws
c) Parents
d) Servants
e) Day care centers

Q 12 How many hours in a day do you spend with your child/children?

a) Less than 2 hours
b) 2-3 hours
c) 3-4 hours

Q 13 Do you ever miss out quality time with your family or your friends because of work?
a) Never
b) Rarely
c) Sometimes
d) Always

Q 14 Do you generally feel that you are able to balance your work & personal life?
a) Yes
b) No

Q 15. Do you feel tired or depressed because of work?

a) Never
b) Rarely
c) Sometimes
d) Always

Q 16 How do you manage stress arising from your work?

a) Yoga
b) Meditation
c) Dance
d) Music

Q 17. Do any of the following hinder you in balancing your work & family commitments?
a) Long working hours
b) Compulsory overtime
c) Shift work

Q 18 Does your organisation provide you with yearly master health check up?
a) Yes b) No

Q 19 Do you suffer from any stress-related disease?

a) Hypertension
b) Diabetes
c) Frequent headache

Q 20 Does your company have a separate policy of work life balance?

 a) Yes
b) No
c) Not aware

Q 21 If yes, what are the provisions under the policy?

a) Flexible start time
b) Flexible ending time
c) Holiday
d) Job sharing
e) Career break
f) Flexible hours in general

Q 22. Do you feel work life balance policy in the organisation should be customized to
individual needs?
a) Strongly agree
b) Agree
c) Indifference
d) Disagree
e) Strongly disagree

Q 23 Are you satisfied with your work life?

a) Yes
b) No

Q 24 Are you living your ideal life?

a) Yes
b) No

Give reason_____________________

Q 25
a) Yes
b) No
Give reason______________